HomeMy WebLinkAbout1311 PHLOX CT; ; CB150616; Permit.. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
02-26-2015 Permit No: CB150616
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1311 PHLOX CT CBAD
PME
2145710200
NGO: REPLACE WTR. HTR.
ALL STAR WATER HEATERS & PLUMBING
30300 PUERTO VALLARTA WY
MENIFEE CA 92584
1-800-727-0977
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
HUYNH SON CONG&NGO KHANH TU
1427 ARBOR CT
ENCINITAS CA 92024
ISSUED
02/26/2015
JMA
02/26/2015
02/26/2015
$35.00
$0.00
$0.00
$60.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector: /11, ~S
FINAL APPROVAL
Date: 0 Clearance: _____ _
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reser.iations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required inforrration with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action lo attack,
review, set aside, void, or annul their imposition.
~-Bulldlng Permit Application Plan Check No. CE:>!$'. O<o lk,
Est. Value ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 OF 760-602-2717 /2718/2719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.cartsbadca.gov Date z{,z..tp bS lswPPP
JOB ADDRESS 1311 Phlox Ct. SUlk,r/_. ,,, "' I N'f'< ---
CT/f'HUJ~GI # ILOT# r~# I# Ur UNm; I' 8Eunvv""" IIBATHRvvMa> I'~'""' 1:11.0;INc.o-,,...,,.,, I wm>TR. """ I """· ,:;RuUP
DESCRIPTION OF WORK: llldude s,,.,.,_ Fftt of Affllc:ted AIN(•)
Replace existing water heater. Same size and location.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (Sf) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES[), Nc0 YESONo□ YES□No□
CONTACT NAME (H Dllhlwnt Fom Applicant> APPLICANT NAME Sierra Sprague
ADDRESS ADDRESS
30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP
Menifee CA 92584
PHONE IFAX PHONE I FAX 951-301-0067
EMAIL EMAIL
PROPERTY OWNER NAME Khahn Ngo CONlRACTOR BUS. NAME
All ~t1u Water : • · ..
ADDRESS ADDRESS
Same as iob 30300 Puerto Vallarta
CITY STATE ZIP CITY STATE ZIP C: •. L .. CA 92011 Menifee CA 92584
PHONE IFAX PHONE IFAX 760-277-3282 951-301-0067
EMAIL EMAIL
ARCli/DESIGNER NAME & .-.OORESS I STATE UC.# STATE LIC.iJ I CLASS lcm;;z, t.f/? 812894 C36
(Sec. 7031.5 Buslnass and Professions Cooe: 1VrJ CIJY or Counfy' whk:11 re(luires a permit to construct, alter, Improve, demollall or repair an~ structure, prior to Its Issuance, also ~ulrea the upplicllnt for such permit to file a slilled statement ttiat Ile Is licensed pursuant to the provisions of the Contractor's License Law !Cha)lter>I, commending with SectlOn 7000 of Division 3 of the Business and Professions Cooel or lhat he IS !lllempt therefrom, and the basis for tile allell:Bd exemption. MY violation of Section 7031.5 tJy any applloent for a permit subjects the applloent to a civil penalty of not more than five hundred dollers {$500)).
WORKERS' COMPENSATION
Wvrkln' COmptn•rion Otc1•rtt1on: 1 henlby affflm under pe,wty of p&/ftJty Oll8 of the fo/lowlI1fJ dee/Ml/Ions: D I have and will maintain I certlftc:ate of con1tnt to 11IMn111rt 1cM' \IIO!ters' compensation as provided by Section 3700 of the Lalxlr Code, for the performance of the work lor 1M1ic:h this permit ls Issued. 0 I 11,vt Ind will maintain worker1' eom~on. as required bv Secllon 3700 of the Labor Code, for the pefforrnance of the m for which this permit Is Issued. My workers' compensaUon Insurance carrier and policy
numbor are; lnsuranoo co American ln&urance Company Polley No. C4B09630A Explrallon Dal& B/01115
]J:IIJ,88Clloo ~ not be oompleted n lhe permit Is for one hundred dollars ($100) or lass. LJ Cartlfleale of Ex1111plion: I certify that In the pe!formance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker.' Compensaooo laws of
Calllomla. WARNING: F1llun1 lo MQll'I WO<illl'I' co~..Uon co...,.. I• unllwful, •nd 111111! lllbJtet ,n ..-pl0yet to crimln•I pen111lea and clvll !inn up to one hund.-.d lhou11nd do!lll'I {&100,000), In
addition to 1M COIi of compenutlon, damlgea u provided for In Section 37!MI of tilt Labor coda, lntare11 and attom&y's fees.
4$ CONTRACTOR SIGNATURE
I hereby liff/tm tn,t Ism ~t liOm Comraclots /Jc811Se I.aw forth& follow/J1fl INSOfl: D I, as owner of the PIIJP8l\y or my employees wflh weges as lhelr sole compensation, will do the work and the Slruclure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlraclofs
License Law does not apply to an owner of property who builds or Improves lhefaon, and who does sud! wor11 hlmse~ or through Ills own employees, provjded lhat such Improvements are not Intended or offerad for
sale. ~. hcMever, Ille building or lmprowment is sold within one year DI' completion, the owner-builder will have the burden of proving that he did 1101 build or Improve for the llUrJlOS8 of sale). D I, as owner of the property, am excluslvely comractlng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to 811 _.. of
property who builds or Improves thereon, ana conltacts for such projecls with contractor(s) licensed pursuant to the Conlrllelo~s License Law).
□ I am exempt IJlder Section ____ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for conslluctlon of the proposed property Improvement. Oves Oo
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have conbilcted with the follOwing person (firm) to pro'llde lhe proposed oonstructkm Onclude name address I phone I contradllrs' license number):
4. I plan lo provide poltlons of the wor11, bu1 I have hlrad the following pe1SOn to ooonllnate, ~Isa and provide the major work (lndude name I address I phone / conlraclors' license number):
5. I will provide some of the wor11, but I have conlracled (hlredl the lollowlng persons lo provide the wor11 Indicated Qnclude name / address I phone / type of WOik):
.Jt! PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY .
Is the a pp leant or future building ccaJpant required IO submit a bu$1nes$..llli1J, aeulely hazardous 111818rials registration lorm or risk management and preventiol1 prog,am under Sections 25505, 25533 or 25534 of th&
Presley-Tanner Haza!'dous Substance Ao:oont Act? D Yes WNo
Is the applcant orfutul9 bulldlng ccaJpant niqulred to obtain a permit from the air pollutlon oontroi~ or al!.!ll!allty mMSgement district? Des D No
Is the faclllty to be o:instructed \\tthln 1,000 feel of the oule!' boundary of a school site? LJYes LJNo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFflC'E OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there ls a construction lending agency for the performance of the work this permit ls issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I 081111ythlltl ~nllldthe8Pl)l(:8tlon lllldltlllethatthe abollell'lonnlltlon 18~81ldth8tthe ll'lb'rnllllon ontheplail&lsacru'1118. I 8W8&1Dcomplywlth all Cffyordl'llll'ICel and Stale llMs ldall,.b buld,.aoln.dlon.
I hembyauthorize ~ol lhe aty of Garlsba:I to enter upcn the aboYe mentiCJ1ed prope,tyb' lnspectb1 JllrpOSe&. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP I-IARMLESS THE CITY Cf CARLSBAD
AGA.INST All LIABILITIES, JUDG\AENTS, COSTS AID EXPENSES Wl-lla-l MAY IN PN'f WAY ACCRUE AGAINST SAID aTY IN COOSEQUENCE Cf THE GRANTING Cf THIS PERMIT.
OSHA: kl OSHA parmll is reqlillld b'excavalk!ns OVllf 5'0' deep and deroolih1 oroons1ructbl ofSb'Udures 0'A!f'3 sbies i1 ~-
EXPIRATION: EY81)' permit issued by the Blilcllg Offlcla uoderlhe ~ of this Code shal axpre by lilrlllil.Jn aod bacoole ooH and \d:I lflhe bulkjo,i orl'll'.rt au1hortzed by such permit is rot ooominced llilhn
100 days from Ille dlie of such poonit or If Ille rutiiog or wor1I authorized by such permit is suspeoded or aberooned at any time after the wor11 ls COOV0800ld ft:.f a prriJd of 180 days (Sectloo 100.4.4 lklbm &illdiog Cede) .
..@S' APPLICANT'S SIGNATURE DATE :? ::ZIA I .s
..
Inspection List
Permit#: CB150616 Type: PME
Date __ _Jnspection l!~m ______ _
03/20/2015 25 Water HeaterNents
03/20/2015 25 Water HeaterNents
03/20/2015 29 Final Plumbing
03/20/2015 29 Final Plumbing
Friday, March 20, 2015
Inspector
MC
MG
NGO: REPLACE WTR. HTR.
Act Comments -·----·--··· ·-·-·-··-
RI PM PLEASE
AP
RI PM PLEASE
Fl
Page 1 of 1